|
Sold to: (Your name and address) Name: _______________________________ Address: _____________________________ ____________________________________ City: ________________________________ State: ______________ Zip: _____________ Phone(s): ____________________________ E-mail: ______________________________ |
Ship to: (if different from sold to) Name: _______________________________ Address: _____________________________ ____________________________________ City: ________________________________ State: ______________ Zip: _____________ |
| Merchandise: | ||||
| Quantity: | Item # | Item Name | Price per item | Total |
| __________ | ________________ | ____________________________ | ____________ |
____________
|
| __________ | ________________ | ____________________________ | ____________ |
____________
|
| __________ | ________________ | ____________________________ | ____________ |
____________
|
| __________ | ________________ | ____________________________ | ____________ |
____________
|
| __________ | ________________ | ____________________________ | ____________ |
____________
|
| __________ | ________________ | ____________________________ | ____________ |
____________
|
| __________ | ________________ | ____________________________ | ____________ |
____________
|
| __________ | ________________ | ____________________________ | ____________ |
____________
|
|
Merchandise
Total: ____________
|
||||
| Payment
method: (payable to PRINTESSDI): |
CA
residents add 8.25% sales tax: ____________
|
|||
| ____ Check |
Flat
Rate Shipping $4.80: ____________
|
|||
| ____ Money order |
TOTAL: ____________
|
|||
| ____ Cashier's check | ||||
| ____ PayPal payment to: cards@printessdi.com | ||||